Primary HA

Question 1

What is the MC type of headache?

Answer 1

Tension type HA (80%)

Question 2

What are the red flag signs for HA?

Answer 2

Worst HA of their life, new onset focal neuro weakness (stroke), onset of HA at >50 yo (temporal arteritis, neoplasm), associated systemic sx (meningitis, encephalitis), acute eye pain (acute angle glaucoma), high blood pressure (hypertensive emergency, preeclampsia)

Question 3

What is a trigger point?

Answer 3

Patient presents with characteristic pain pattern, located only in muscle tissue, elicits a radiating pain pattern while pressed, present within a taut band of tissue, elicits twitch response with palpation

Question 4

What is the etiology of migraines?

Answer 4

Have a neurologic etiology however resultant pain pattern includes MSK pain generators (tension HA like)

Question 5

What should be known for the biomechanics model?

Answer 5

Know specific modalities for specific etiologies of head pain, know which HA respond well to conservative modalities (OMM, PT)

Question 6

What should be known for the respiratory/circulatory model?

Answer 6

Oxygen is abortive for cluster HA

Question 7

What should be known for the metabolic model?

Answer 7

General knowledge of common abortive/preventive meds

Question 8

What should be known for the neuro model?

Answer 8

Know general abortive and prophylactic treatments

Question 9

What should be known for the behavioral model?

Answer 9

Know the common triggers and behavior modifications and know behavior interventions that decrease number of HA